Jeremiah Jams Order Request
After you fill out this order request, we will contact you to go over details on pricing and availability before the order is completed. Payments will be collected after confirmation of orders. We accept cash, credit, Venmo, Zelle and PayPal.
Thank you for ordering Jeremiah Jams!
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Are you a new or existing customer?
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Your name *
E-mail *
Phone number
Preferred contact method *
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Contact info (including shipping address if applicable)
What flavor #1 would you like to order? *
Size for #1 *
Quantity for #1 *
What flavor #2 would you like to order?
Size for flavor #2
Quantity for flavor #2
What flavor #3 would you like to order?
Size for #3
Quantity for #3
What flavor #4 would you like to order?
Size for #4
Quantity for #4
Additional flavors
Questions, comments and shipping - Payments will be collected after confirmation of orders. We accept cash, credit, Venmo, Zelle and PayPal.
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